NPI | 1669472270 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH R. PITCHFORD President/CEO 219-365-0220 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 02002102) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07001187A) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2018-03-17 |